Neuropathy
Back Clinic Neuropathy Kurapa Chikwata. Peripheral neuropathy inokonzerwa nekukuvadzwa kwetsinga dzeparipheral. Izvi zvinowanzokonzera kupera simba, chiveve, uye kurwadziwa, kazhinji mumaoko netsoka. Inogonawo kukanganisa dzimwe nzvimbo dzemuviri wako. Iyo yeperipheral nervous system inotumira ruzivo kubva kuhuropi uye musana (central nervous system) kumuviri. Inogona kubva mukukuvara kwekukuvara, hutachiona, matambudziko emetabolism, zvakagarwa nhaka, uye kuratidzwa kune chepfu. Chimwe chezvikonzero zvinowanzoitika chirwere cheshuga mellitus.
Vanhu vanowanzotsanangura marwadzo acho sekubaya, kupisa, kana kurira. Zviratidzo zvinogona kuvandudzwa, kunyanya kana zvichikonzerwa nechirwere chinorapika. Mishonga inogona kuderedza kurwadziwa kweperipheral neuropathy. Inogona kukanganisa tsinga imwe (mononeuropathy), tsinga mbiri kana kupfuura munzvimbo dzakasiyana (multiple mononeuropathies), kana tsinga dzakawanda (polyneuropathy). Carpal tunnel syndrome muenzaniso we mononeuropathy. Vanhu vazhinji vane peripheral neuropathy vane polyneuropathy. Tsvaka rubatsiro rwechiremba pakarepo kana pane zvisingawanzo kurira, kushaya simba, kana kurwadziwa mumaoko ako kana tsoka. Kukurumidza kuongororwa uye kurapwa kunopa mukana wakanakisa wekudzora zviratidzo zvako uye kudzivirira kumwe kukuvadzwa kune peripheral nerves. Testimonies http://bit.ly/elpasoneuropathy
General Disclaimer *
Ruzivo rwuri pano haruna kuitirwa kutsiva hukama hwemunhu-pamwe nenyanzvi yezvehutano ane hunyanzvi kana chiremba ane rezinesi uye harisi zano rekurapa. Tinokukurudzira kuti uzviitire sarudzo dzehutano maererano netsvagiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa. Ruzivo rwedu ruzivo rwakagumira kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, nyaya dzehutano dzakasimba, zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano. Isu tinopa uye tinopa kushandira pamwe kwekiriniki nenyanzvi kubva kwakasiyana siyana yezvirango. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda hutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system. Mavhidhiyo edu, zvinotumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro inechekuita nerutsigiro, zvakananga kana zvisina kunanga, mamiriro edu ekurapa. Hofisi yedu yaedza zvine musoro kupa magwaro anotsigira uye yakaona. chidzidzo chetsvakiridzo chakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira zvidzidzo zvekutsvagisa anowanikwa kumabhodhi ekutonga uye neruzhinji pakukumbira.
Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez kana taura nesu isu 915-850-0900 .
Dr. Alex Jimenez DC, Msacp , CCST , IFMCP *, CIFM *, atn *
email: qeqeshi@elpasofunctionalmedicine.com
Inobvumirwa mu: Texas & New Mexico *
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Kungoerekana Kungoerekana Kungoitika , Lawyers , Nerve Injury , Neuropathy , Kukuvara Kwevanhu
Kunzwisisa Kukuvara Kwekumanikidza, Kukuvadzwa Kwetsinga, uye Whiplash kubva Njodzi dzeMotokari: A Comprehensive Guide.
Tsaona dzemotokari, dzinozivikanwawo setsaona dzemotokari (MVAs), ndiyo inonyanya kukonzera kukuvara pasi rose, kazhinji ichikonzera mamiriro ezvinhu anogona kukanganisa zvakanyanya hupenyu hwemunhu. Pakati pezvinonyanya kukuvadzwa kukuvara kwekumanikidzwa, kukuvara kwetsinga, uye kushungurudza kusiri kwakananga se whiplash. Kukuvara uku kunogona kutungamirira kumarwadzo asingagumi, nyaya dzekufamba, uye kunyange kuremara kwenguva refu kana isina kunyatsoongororwa uye kurapwa. MuEl Paso, Texas, uko zviuru zvetsaona dzinoitika gore negore, varapi vakaita saDr. Alexander Jimenez, chiremba wechiropractic uye mukoti, vanonyanya kubatsira vakakuvadzwa kuti vadzoke vachishandisa maturusi epamusoro ekuongorora uye kuchengetedza kwakabatana.
Iyi blog inoongorora zvikonzero zvekurapa zvekukuvara kwekumanikidza, kukuvara kwetsinga, uye whiplash kubva kuMVAs; kubatana kwavo kune peripheral neuropathies; uye nzira itsva dzinoshandiswa naDr. Jimenez kuti aongorore uye aite izvi. Tichazokurukurawo mabatiro ekukuvara uku muEl Paso's kukuvara kwemunhu uye kuti kuongororwa kwakaringana kunovhara sei musiyano pakati pekurapa uye zvinyorwa zvepamutemo. Gwaro iri rine chinangwa chekujekesa nekuita kuti pfungwa dzekurapa dzakaoma kunzwisisa dziwanikwe.
Chii chinonzi Compression Kukuvara, Nerve Damage, uye Whiplash?
Kudzvinyirira Kukuvara
Simba reMVA rinogona kusvina kana kudzvanya zvikamu zvemuviri, zvakaita semapfupa, tsandanyama, kana tsinga, zvichikonzera kukuvara kwekumanikidza. Semuenzaniso, kungoerekana kwaitika kunogona kumanikidza spinal discs kana vertebrae, zvichitungamira kumarwadzo uye kurambidzwa kufamba. Kukuvara uku kunowanzo kanganisa musana, zvichikonzera nyaya senge herniated discs kana fractures inogona kumanikidza tsinga.
Tsinga Kukuvadza
Kukuvadzwa kwetsinga, kunonziwo neuropathy, kunoitika kana tsinga dzakatambanudzwa, kudzvanywa, kana kubvaruka. Tsinga dzinoita sewaya dzemuviri, dzichitakura zviratidzo pakati pehuropi nedzimwe nhengo. Kana zvakuvadzwa, zvinogona kukonzera zviratidzo zvakaita sekurwadziwa kwakapinza, kupera simba, kurira, kana kushaya simba. MuMVAs, kukuvadzwa kwetsinga kunowanzobva mukukuvadzwa kusvika kumusana kana makumbo, kukanganisa basa rinowanzoitwa.
Whiplash
Whiplash inowanzoitika kukuvara kweMVA, kunyanya mukukonana kwemashure. Kudzungudza kwemusoro kumberi nekumashure kunoshungurudza tsandanyama, matsinga, netsinga dzemutsipa. Uku kukurumidza kufamba kunogona kukonzera kuzvimba kana kudzvanywa kwetsinga, zvichikonzera kurwadziwa kwemutsipa, kutemwa nemusoro, uye dzimwe nguva nyaya dzenguva refu. Tsvagiridzo inoratidza kuti nezve 50% yevarwere ve whiplash vanonzwa kurwadziwa kwemutsipa kweinenge gore mushure menjodzi (Carroll et al., 2008 ).
Zvikonzero Zvokurapa Zvekudzvinyirira Kukuvara uye Kukuvadzwa Kwetsinga muMVAs
MVAs inogona kukonzera kukuvara kwakasiyana nekuda kwekamwe kamwe uye kune simba mafambiro anobatanidzwa. Pazasi, tinoongorora zvikonzero zvekutanga zvekukuvara kwekumanikidza uye kukuvara kwetsinga, kudhirowa pakiriniki yeruzivo.
Whiplash uye Nerve Compression
Whiplash inoitika apo mutsipa unowedzera kukurumidza kukurumidza uye kuderera, kazhinji mukukonana kwemashure. Kufamba uku kunogona kupisa matishu akatenderedza cervical spine (mutsipa) kana kudzvanya tsinga, zvichitungamira kumarwadzo, kuoma, uye kupera kwemaoko kana maoko. Maererano ne Houston Pain Nyanzvi , whiplash ndicho chikonzero chikuru chekurwadziwa kwetsinga muMVAs nekuda kwekuita kwayo kune zvinyoro zvinyoro uye nerve.
Herniated Discs
Iyo musana's intervertebral discs inoshanda semakusheni pakati pe vertebrae. Mune MVA, simba rekukanganisa rinogona kuita kuti ma discs aya ashanduke kana kuputika, mamiriro anozivikanwa sea herniated disc. Kana dhisiki yemukati zvinhu ichibuda, inogona kudzvanya tsinga dziri pedyo, zvichikonzera kurwadziwa, kusanzwa, kana kupera simba. Iyo kambani yeRussia inocherechedza kuti herniated discs ndiyo inowanzokonzera peripheral neuropathy, kukanganisa zviratidzo zvetsinga kumakumbo.
Mutsara Wemakumbo Kukuvara
MaMVA akakomba anogona kukuvadza zvakananga musana, iyo bundle retsinga dzinomhanya nemumusana. Izvi zvinokuvadza zvinogona kukonzera kurasikirwa kwechidimbu kana kukwana kwekunzwa uye kufamba pasi penzvimbo yekukuvara. Kukuvara kwemuzongoza hakunyanyi kuwanda asi kunogona kutungamira mukukuvadzwa kwekusingaperi tsinga, kukanganisa mabasa akaita sekufamba kana kufema.
Pinched Mitsipa
Nhumbu yakatsikirirwa inoitika kana matishu akatenderedza, senge mapfupa kana mhasuru dzakazvimba, anomanikidza tsinga. MuMVAs, vertebrae yakadzingwa kana matishu anopisa anogona kupinza tsinga, zvichikonzera kurwadziwa kwakanyanya kana kurira. Izvi zvinowanzoonekwa mumutsipa kana pasi kumashure, zvichikonzera kumamiriro ezvinhu akadai se radiculopathy.
Kuzvimba uye Kuzvimba
Mushure meMVA, muviri unopindura kukuvadzwa nekuputika, izvo zvinogona kukonzera kuzvimba kwakakomberedza nzvimbo dzakakuvara. Kuzvimba uku kunogona kumanikidza tsinga, zvichitungamira kumarwadzo uye zvinogona kukuvara zvisingaperi kana zvisina kurapwa. Kuzvimba ndicho chinhu chakakosha muzviratidzo zvenguva refu, sezvakataurwa na Houston Pain Nyanzvi .
Scar Tissue Formation
Sezvo muviri uchipora, mavanga anogona kuumbwa munzvimbo dzakakuvara. Ichi chinyama chinogona kubata kana kumanikidza tsinga, kuwedzera marwadzo nekufamba kwenguva. Scar tissue inonyanya kunetseka mumamiriro ezvinhu ekurwadziwa kusingaperi kwetsinga, sezvo inogona kuunza kudzvinyirirwa kusingaperi patsinga.
Kutambanudza Kwakanyanya kana Kudzvanya
Masimba akasimba muMVA anogona kutambanudza kana kumanikidza tsinga kupfuura zvayakajairwa, zvichikonzera kukuvara nekukurumidza. Izvi zvinogona kutungamirira kumarwadzo anoenderera mberi kana zviratidzo zvetsinga kana tsinga dzikasapora zvakanaka, sekutsanangurwa kwazvinoitwa Houston Pain Nyanzvi .
Cause
tsananguro
Zviratidzo Zvakajairika
Whiplash
Kukurumidza mutsipa kufamba kunogona kupisa kana kumanikidza tsinga.
Kurwadza kwemutsipa, chiveve, kutemwa nemusoro
Herniated Discs
Disc rupture inotsikirira patsinga.
Marwadzo, chiveve, kupera simba mumakumbo
Mutsara Wemakumbo Kukuvara
Kushungurudza kwakananga kumusana.
Kurasikirwa nekunzwa, kuremara mitezo
Pinched Mitsipa
Kudzvinyirirwa nemapfupa kana matishu.
Kurwadza kwakapinza, kurira
Kuzvimba uye Kuzvimba
Kuzvimba kunotsikirira tsinga.
Marwadzo, kuderera kwekufamba
Scar Tissue Formation
Mavanga anopinza tsinga mushure mekupora.
Kurwara kwenguva refu, kushatirwa kwetsinga
Kunyanya Kutambanudza/Kudzvinyirirwa
Direct kukuvara kwetsinga kubva pakukanganisa.
Kuramba kunorwadza, zviratidzo zvetsinga
Peripheral Neuropathies kubva kuMVA Kukuvara
Peripheral neuropathy inoreva kukuvadzwa kwetsinga dzeparipheral, dzinobatanidza uropi nemuzongoza kumuviri wese. Idzi tsinga dzinodzora kufamba, kunzwa, uye mabasa ekuzvidzivirira, akadai sekurova kwemoyo. Njodzi dzemotokari (MVAs) dzinogona kukonzera peripheral neuropathies kuburikidza nenzira dzakadai sekumanikidzika kwetsinga kana kushungurudzika.
Sciatica sePeripheral Neuropathy
Sciatica, yakajairika peripheral neuropathy, inoitika apo sciatic nerve, inomhanya kubva kuzasi kumashure kusvika kumakumbo, inomanikidzwa. Rudzi urwu rwekukuvara runowanzobva kune herniated discs kana musana wemusana unokonzerwa neMVAs. Zviratidzo zvinosanganisira marwadzo anopenya, chiveve, uye kupera simba kwetsandanyama mumakumbo. Dr. Jimenez's website inoratidza kuti kukuvadzwa kwe ligamentous, zvakadai semisodzi mu annulus fibrosus, inogona kutungamirira ku disc herniation uye sciatica (Jimenez, nd ).
Zviratidzo uye kuongororwa
Zviratidzo zve peripheral neuropathy zvinosanganisira:
Kurwadza, kupisa, kana kupfura
Unhu kana kugwinha
Kunzwisisa kubata
Tsandanyama kupera simba kana kurongeka
Autonomic nyaya senge blood pressure inoshanduka
Kuongororwa kunowanzobatanidza kufungidzira, kwakadai seMRI, kuona kudzvinyirirwa kwetsinga, pamwe nekuongororwa kwekliniki kuongorora zviratidzo. Kukurumidza kuongororwa kwakakosha mukudzivirira zvirwere zvisingaperi, sezvakataurwa na Iyo kambani yeRussia .
Dr. Alexander Jimenez's Clinical Insights
Dr. Alexander Jimenez, DC, APRN, FNP-BC, ndiye chiremba mukuru muEl Paso, Texas, anozivikanwa nokuda kwekubatanidza nzira yekurapa kukuvara kwemotokari (MVA). Ane makore anopfuura 30 ane ruzivo, ane zvitupa mukuchengetwa kwechiropractic, mushonga unoshanda, uye mukoti, zvichimubvumira kugadzirisa zvese musculoskeletal uye systemic nyaya.
Background uye Nyanzvi
Dr. Jimenez's practice inotarisa pakurapa kwakakwana, kubatanidza maitiro echiropractic nemishonga inoshanda. Kiriniki yake, Injury Medical Clinic, inopa marapirwo ekurwadziwa kusingaperi, kukuvara kwemunhu, uye mamiriro akaoma senge sciatica uye herniated disc. Mipiro yakadai seTop Rated El Paso Chiropractor Award kubva ku2015 kusvika ku2024 (Three Best Rated) vanoziva basa rake.
Kuongorora Nzira
Dr. Jimenez anoshandisa maturusi epamusoro ekuongororwa kuti aongorore kukuvara kweMVA:
MRI : Inoona kukuvara kwenyama yakapfava senge ligament misodzi uye disc herniations, iyo inogona kusaoneka paX-rays. Chidzidzo chenyaya pawebhusaiti yake inotsanangura mukadzi ane makore makumi mana nemapfumbamwe ane 49 mm disc bulge inokonzera kurwadziwa kwakanyanya, yakaonekwa kuburikidza ne9 Tesla MRI (Jimenez, 2017 ).
Computerized Radiographic Mensuration Analysis (CRMA) inoongorora kuti musana unofamba sei kuona kana tsinga dzakasununguka, chirwere chinozivikanwa se. Kugadziriswa kweMotion Segment Kutendeseka (AOMSI). Kuongororwa kwakakosha pakusarudza zviyero zvekukanganisa, izvo zvinogona kukanganisa zvakanyanya zvichemo zveinishuwarenzi (Jimenez, 2017 ).
Treatment Strategies
Dr. Jimenez anoshandisa chiropractic kugadzirisa, kurapa kwepanyama, uye mushonga unoshanda kudzorera kufamba uye kuderedza marwadzo. Nzira yake yekubatanidza inogadzirisa zvose zvinokuvadza pakarepo uye zvikonzero zvinokonzera, zvakadai sekuputika kana biomechanical nyaya, kudzivirira kukura kwemamiriro ezvinhu asingagumi.
Impact yeEl Paso's Personal Injury Cases
El Paso inosangana nehuwandu hwezviitiko zvemotokari (MVAs), ine 19,150 yakashuma mu2021, iyo 25-27% yakaguma nekukuvara (Ita Kuti Migwagwa Ive Yakachengeteka ) Kukuvara kwakajairika kunosanganisira whiplash, herniated discs, uye kukuvara kwetsinga, izvo zvinogona kutungamirira kuzvinhu zvenguva refu senge peripheral neuropathy. Dr. Jimenez's kiriniki inoita basa rakakosha mukurapa vanhu ava, vachipa zvirongwa zvemunhu zvekuchengetedza hutano uye kutsigira zvirevo zvemutemo.
Muenzaniso Wechidzidzo
Murwere wechikadzi ane makore 49 akabatanidzwa muMVA akawana kurwadziwa kwakanyanya nekuda kwe9 mm disc bulge, yakaonekwa kuburikidza neMRI. Dr. Jimenez chirongwa chekurapa, kusanganisa chiropractic kuchengetedza uye kurapwa kwepanyama, kwakabatsira kuderedza zviratidzo zvake uye kupa zvinyorwa zvemhosva yake yekukuvara (Jimenez, 2017 ).
Kubatanidza Diagnostic Tests uye Imaging kune Murwere Kukuvara
Kuongororwa chaiko kwakakosha pakurapa kunoshanda uye zvinyorwa zviri pamutemo munyaya dzetsaona yemotokari (MVA). Dr. Jimenez's use of advanced imaging and diagnostic tests inovimbisa kunyatsozivikanwa kwekukuvara, iyo inokosha kune zvose zvekurapa uye zvepamutemo.
Kukosha kweDiagnostics
Yakajairwa X-rays inogona kupotsa kukuvara kwenyama yakapfava, ine 12% yekukuvara kwemusana kunoratidza kusakanganiswa kweradiographic (Jimenez, 2017 ) MRI uye CRMA inopa ruzivo rwakadzama:
MRI : Inoona ligament misodzi, disc herniations, uye nerve compression.
CRMA : Inoyera kusagadzikana kwemusana, ine maitiro chaiwo eAOMSI (eg,> 3.5 mm kufamba mumutsipa wekervical). Kukuvara kwakadaro kunogona kukonzera kukanganiswa kwe25-28%, iyo inogona kukanganisa kugadziriswa kweinishuwarenzi (Jimenez, 2017 ).
Zvinyorwa Zvepamutemo
Makambani einishuwarenzi anochengetedza mari yakakosha (semuenzaniso, $60,000) yekuongororwa kwe ligament laxity, sezvo vachiratidza kukuvara kwakanyanya. Dr. Jimenez's detailed documentation, inotsigirwa neCRMA neMRI, inobatsira varwere kuchengetedza mubhadharo wakakwana wezvikwereti zvekurapa, kurasikirwa kwemari, uye kurwadziwa uye kutambura.
Diagnostic Turu
chinangwa
Mhedzisiro paMarapirwo uye Zvikumbiro Zvemutemo
MRI
Inoona zvinyoro zvinyoro uye kukuvara kwetsinga
Vanotungamirira kurapwa; inopa humbowo hwezvichemo zvemutemo
CRMA
Inoyera kufamba kwemusana uye ligament laxity
Inogadza zviyereso zvekukanganiswa; inokanganisa kubhadharwa kweinishuwarenzi
Dual-Scope Procedus
Izwi rokuti "dual-scope procedures" rinogona kureva Dr. Jimenez kushandisa nzira dzakawanda dzekuongorora, dzakadai sekubatanidza MRI neCRMA, kuongorora kukuvara zvakakwana. Iyi nzira mbiri inovimbisa kunzwisiswa kwakakwana kwezvose zviri zviviri zvimiro uye zvinoshanda kukuvadzwa, izvo zvinowedzera zvirongwa zvekurapa uye zvinyorwa zvepamutemo.
mhedziso
Njodzi dzemotokari dzinogona kukonzera kukuvara kwakanyanya, sekukuvadzwa kwekumanikidza, kukuvara kwetsinga, uye whiplash, kazhinji inotungamira kune peripheral neuropathies senge sciatica. Aya mamiriro anoda kukurumidza uye kwakaringana kuongororwa kudzivirira chronic pai n nekuremara. MuEl Paso, Dr. Alexander Jimenez anomira kunze kweunyanzvi hwake mukurapa MVA vakaurayiwa, vachishandisa zvishandiso zvepamusoro seMRI neCRMA kubatanidza kukuvadzwa kwehutano hunobudirira nemigumisiro yepamutemo. Nzira yake yekubatanidza inoita kuti varwere vagamuchire kutarisirwa kwakakwana vachitsigira kutsvaga kwavo muripo wakaringana.
VIDEO
Kana iwe wakambopinda mutsaona yemotokari (MVA), tapota funga kutsvaga kuongororwa kwechiremba nekukurumidza kugadzirisa chero kukuvara kunogona kuitika. Bata nyanzvi dzakadai saDr. Jimenez pa Injury Medical Clinic (915-850-0900) yekutarisira nyanzvi uye rutsigiro.
Mazano Anokosha :
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Kugadzirira Therap , Adrenal Fatigue (AF) , Alzheimer's , Anti Aging , vatambi , Kungoerekana Kungoerekana Kungoitika , Kudzorera Pain , Basal Metabolic Index (BMI) , Car Accident Specialist , Chiropractic Examination , Kukanganiswa kwakakomba , kusuruvara , Detoxification , Epigenetic's , Fibromyalgia , Fibromyalgia , kugwinya , Functional Medicine , Healthcare Providers , Hip Pain & Dambudziko , Human Physiology , Neuropathy , Kukuvara Kwevanhu , Sciatica , Dambudziko Rekurwa Kwakawanda , Mishonga , Wellness , Whiplash
Dr. Alex Jimenez: Pioneering Integrative Care seChiropractor uye Nurse Practitioner
Dr. Alex Jimenez, chiropractor ane rezinesi uye bhodhi-yakasimbiswa mukoti chiremba ari muEl Paso, Texas, anounza makore anopfuura 25 ehunyanzvi kune yake Injury Medical & Chiropractic Clinic practice. Rezinesi rake rembiri rinopa yakasarudzika ruzivo mune etiologies, pathogenesis, uye kurapwa kweakaomesesa mamiriro ekiriniki, zvichimugonesa kuendesa yakatarisana nemurwere, yekubatanidza kuchengetedza iyo mabhiriji mushonga wepanyama, mushonga unoshanda, uye yepamberi diagnostics. Kubatanidza ruzivo rwechiropractic nemukoti-anotungamirirwa nehutungamiri hwezvokurapa, Dr. Jimenez anopa mazano ekurapa akazara anoenderana neacute uye asingagumi mamiriro ezvinhu, kukurudzira kusimba kwemasabolism, hupenyu hurefu, uye hutano hwemunhu wose.
Huviri Unyanzvi: Chiropractic uye Mukoti Practitioner Mabasa
Dr. Jimenez's practice inomira pamusana pekukwanisa kwake kubatanidza biomechanical focus yechiropractic kuchengetedza nemukoti chiremba wekuongorora uye kurapa. Sechiropractor, anonyanya kudzorera basa remusculoskeletal, kunyanya mushure mekushungurudzika, mutsipa, musana, musana, uye kukuvara kwenyama. Kupindira kwake kwechiropractic kunosimbisa nzira dzisingabatsiri, dzakadai sekuderera kwemusana, kugadziriswa kwebhuku, nekugadzirisa kushanda, kuderedza marwadzo uye kuwedzera kufamba.
Sezvo ari bhodhi-yakasimbiswa mukoti chiremba, Dr. Jimenez anoshandisa uchapupu-based medicine kugadzirisa systemic uye metabolic dysfunctions. Unyanzvi hwake hunosvika pakugadzirisa zvisingaperi kusagadzikana kusagadzikana, kusaenzana kwehomoni, kurasikirwa nehuremu, hutano hwepabonde, uye kurwadziwa syndromes. Maonero maviri aya anomutendera kuti aone zvikonzero zvechirwere, kubva pakusawirirana kwebiomechanical kuenda kukusaenzana kwemuviri, uye kuronga marapirwo ekurapa anogadzirisa zviratidzo uye zvikonzero.
Kubatana kwemabasa aya kunoita kuti Dr. Jimenez ape nzira yakakwana iyo inonyanya kushanda mumamiriro ezvinhu akaoma akadai sciatica, fibromyalgia, disc herniation, spondylolisthesis, uye kusingaperi kwemutsipa kana kurwadziwa shure. Zvirongwa zvake zvinosanganisa zvinosanganisa kuongororwa kwemishonga, kupindira kwemararamiro, uye kuongororwa kwepamusoro kuti uwane homeostasis uye physiological balance.
Kurapa Protocols: Uchapupu-hwakavakirwa uye Murwere-Pakati
Kutora kubva mukubatanidza maprotocol akatsanangurwa pawebhusaiti yake, www.chiromed.com , Dr. Jimenez anoshandisa nzira yakasiyana-siyana yekutarisira varwere. Zvirongwa zvake zvekurapa zvakadzika muhumbowo-mushonga, mushonga unoshanda, uye mararamiro ehutano hwakanaka, akagadzirirwa kune yakasarudzika mamiriro ehutano emurwere, mararamiro, uye nhoroondo yekurapa. Pazasi pane zvakakosha zvikamu zveyekubatanidza yake yekuchengeta modhi:
1. Chiropractic Care uye Functional Rehabilitation
Kugadzikana kwepamuviri : Non-surgical decompression therapy inoshandiswa kugadzirisa kudzvinyirira pamakumbo emusana, kugadzirisa mamiriro akaita se disc herniation, sciatica, uye spinal stenosis. Iyi modhi inosimudzira kuporesa nekuvandudza kuyerera kweropa uye kuendesa zvinovaka muviri kunzvimbo dzakakanganisika.
Manual Adjustments : Kugadziriswa kwakanangwa kunogadzirisa musana, kuderedza kudzvanywa kwetsinga, uye kudzoreredza kufamba kwemajoini. Izvi zvinonyanya kushanda kune whiplash, scoliosis, uye maitiro asina kunaka.
Functional Strength Training : Dr. Jimenez anogadzira zvirongwa zvekugadzirisa kugadzirisa kupora uye kudzivirira kukuvara zvakare. Zvirongwa izvi zvakagadzirirwa vatambi uye vanhu vari kutsvaga kuita kwakaringana uye zvinosanganisira kufamba, kuchinjika, uye agility kudzidziswa.
2. Functional Medicine Assessments
Mushonga unoshanda zvishandiso zvinoongorora metabolic, hormonal, uye hutano mamiriro. Kuongorora uku kunoratidza zvikonzero zvemamiriro ezvinhu akadai sekuneta, kuwedzera uremu, kana kurwadziwa kusingaperi, zvichiita kuti kupindira kwakanyatsojeka.
Yepamberi yekuongorora mapuroteni, kusanganisira mapaneru eropa uye kufungidzira, inopa data-inofambiswa ruzivo mune etiologies uye pathogenesis. Izvi zvinobvumira Dr. Jimenez kuti agadzirise kukanganisa kwepasi pane kungovhara zviratidzo.
3. Mararamiro uye Kupindira Kwezvokudya
Kurasikirwa Kwehuremu uye Metabolic Resilience : Dr. Jimenez anobatanidza mazano ekupa mazano ekudya uye kugadzirisa kushandiswa kwemagetsi kuti atsigire kuderedza uremu uye kudzivirira zvirwere zvisingaperi seshuga kana chirwere chemwoyo.
Hormone uye Utano Hwepabonde : Marejisheni akasarudzika anogadzirisa kusaenzana kwehomoni uye kusagadzikana kwepabonde, kuvandudza hupenyu uye hutano hwese.
Pain Management : Kugadziriswa kwezvokudya uye mararamiro ehupenyu kunobatsirana nemishonga yepanyama kugadzirisa zvirwere zvisingaperi zvinorwadza, kuderedza kuvimba nemishonga.
4. Specialized Care for Complex Conditions
Sciatica uye Disc Kukuvara : Dr. Jimenez anoshandisa zvakanangwa decompression uye rehabilitation protocols kuderedza tsinga uye kudzorera basa.
Chisingaperi Degenerative Disorders : Mamiriro ezvinhu akafanana nefibromyalgia, arthritis, uye spondylolisthesis inotungamirirwa kuburikidza nehurongwa hwekubatanidza hunobatanidza kurapa kwepanyama, rubatsiro rwekudya, uye kugadzirisa metabolic.
Mitambo uye Auto Accident Kukuvara : Tailored rehabilitation programs inobata kukuvara kwenyama yakapfava, kukuvara kwepfudzi, uye whiplash, kuve nechokwadi chekupora nekukurumidza uye kusimba kwenguva refu.
5. Advanced Wellness Programs
Dr. Jimenez's kiriniki inopa zvirongwa zvehutano hwakakwana pamusoro pehupenyu hurefu, kutarisira ganda, uye kurasikirwa kwebvudzi. Zvirongwa izvi zvinosanganisa kudya kunovaka muviri, mararamiro ekudzidzisa, uye ekucheka-kumucheto marapiro kusimudzira simba uye aesthetic hutano.
Mapurogiramu epamusoro-soro ekugadzirisa maitiro anokwidziridza kushanda kwevatambi, kubatanidza kushanda kwesimba rekudzidzira uye kupindira-kwakatarisa kupindira.
Chikwata Chekubatanidza uye Kliniki Yakakosha
Injury Medical & Chiropractic Clinic ndiyo huru yeEl Paso yekufamba, kushanduka, uye agility centre, kubatanidza chiropractors, vanamukoti varapi, vanamukoti vakanyoreswa, vadzidzisi vezvokudya, uye vadzidzisi vekuita muviri. Boka rekiriniki rinoita mabasa akasiyana-siyana rinoshanda pamwe chete kuti ripe rubatsiro rwemunhu, zvichiita kuti varwere vawane mhedzisiro yehutano inoyerwa. Masevhisi akakosha anosanganisira:
Acupuncture : A Complementary therapy kuderedza marwadzo uye kukurudzira kuzorora.
Advanced Nutritional Programs : Humbowo-hwakavakirwa zvirongwa zvekudya kutsigira hutano hwemetabolism uye kupora.
Kudzidzira Kuita Kwenyama : Zvirongwa zvekusimudzira kusimba, kudzivirira kukuvara, uye optimize kuita kwemitambo.
Kiriniki inogamuchira mainishuwarenzi makuru, anosanganisira Aetna, Blue Cross Blue Shield, Cigna, uye Yekutanga Hutano, ichiita kuti chengetedzo iwanikwe kune yakakura murwere base.
Insights kubva kune Dual Licensure
Dr. Jimenez's rezinesi sezvose chiropractor uye mukoti mushandi anomupa kunzwisisa kwakazara kwemaitiro echirwere uye nzira dzekurapa. Kudzidzira kwake chiropractic kunomushongedza kugadzirisa biomechanical dysfunctions, nepo mukoti wake nyanzvi yehunyanzvi inomubvumira kubata systemic mamiriro ane lens yekurapa. Aya maonero maviri anowedzera kugona kwake ku:
Kujekesa Etiologies : Nokubatanidza musculoskeletal assessments ne metabolic uye hormonal evaluations, Dr. Jimenez anotsanangura zvikonzero zvakasiyana-siyana zvemamiriro ezvinhu, kuvimbisa kupindira kwakananga.
Nzwisisa Pathogenesis : Ruzivo rwake rwekufambira mberi kwechirwere runozivisa zvirongwa zvekurapa zvinomisa kana kudzosera kumashure maitiro ekuderera.
Dhizaina Yakakodzera Regimens : Kubatanidza mishonga yepanyama, yezvokudya, uye yezvokurapa, Dr. Jimenez anogadzira zvirongwa zvehutano zvekubatana zvinogadzirisa zviratidzo zvose uye kukanganiswa kwepasi.
Iyi nzira yekubatanidza inonyanya kukosha kune varwere vane zvirwere zvisingaperi kana zvakasiyana-siyana, sezvo inotarisa kuwirirana pakati pemuviri, metabolic, uye mararamiro ehupenyu.
Murwere-Pakati Kuchengeta: Mu-Munhu uye Online
Chiitiko chaDr. Jimenez chinosimbisa kutarisisa kwemunhu, kunyangwe varwere vanoshanya mumunhu pa11860 Vista Del Sol, Suite 128, El Paso, TX 79936, kana kuita kuburikidza nefoni. Mushonga wake unoshanda, unowanikwa kuburikidza www.dralexjimenez.com , inodzidzisa varwere pamitemo yehutano hwakakwana, inovhara misoro kubva kuhutano hwemusana kusvika kune metabolic optimization. Iyo webhusaiti ine:
Zvinodzidzisa Zvemukati : Zvinyorwa zveBlog, zvinyorwa, uye mavhidhiyo zvinopa ruzivo rwechiropractic kuchengetedza, mushonga unoshanda, uye kugadzirisa kukuvara.
Patient Uchapupu : Nhau dzakabudirira dzinoratidza kushanduka kwekutarisira kwaDkt Jimenez, kuratidza migumisiro yemamiriro ezvinhu akaita se sciatica, kukuvara kwemitambo, uye kurwadziwa kusingaperi.
Appointment Booking : A mushandisi-ane hushamwari interface inobvumira varwere kuronga mu-munhu kana online kubvunzana, negwara rakajeka pane zvavanofanira kutarisira pakushanya kwavo kwekutanga.
Kuzvipira kune Dzidzo uye Hutano Hwenharaunda
Dr. Jimenez akazvipira kupa varwere simba kuburikidza nedzidzo. Webhusaiti yake yakazara, ichipa humbowo-hwakavakirwa ruzivo nezvehutano mamiriro, nzira dzekurapa, uye hutano maitiro. Nekukurudzira ruzivo rwehutano, Dr. Jimenez anoita kuti varwere vaite zvisarudzo zvine ruzivo uye vatarisire kugara kwavo zvakanaka.
Kuzvipira kwake kunosvika kunharaunda yeEl Paso, kwaanovavarira kuwedzera ruzivo rwekutarisirwa kwekubatanidza. Dr. Jimenez vanokurudzira hutano hwehutano hwakanaka uye kuchengetedza kwekudzivirira kuburikidza nemasangano, zvinyorwa zvepaIndaneti, uye nharaunda.
mhedziso
Dr. Alex Jimenez unyanzvi huviri sechiropractor uye mukoti chiremba anomugadza semutungamiri mumishonga inobatanidza. Kugona kwake bhiriji mushonga wemuviri nesystemic hutano manejimendi inomubvumira kugadzirisa nyaya dzakaoma dzekiriniki nemazvo uye tsitsi. Dr. Jimenez anopa kutarisirwa kwemunhu kunokurudzira kuporesa, kusimba, uye hupenyu hurefu kuburikidza nekushandisa uchapupu-based protocols, kuongororwa kwepamusoro, uye mararamiro ehupenyu.
Kuti uwane rumwe ruzivo kana kuronga nguva yekuonana, shanya www.dralexjimenez.com kana kubata kiriniki pa +1-915-412-6677.
Email mibvunzo inogona kutumirwa kune qeqeshi@elpasofunctionalmedicine.com .
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Nerve Injury , Neuropathy , Kuongorora Maedzo
Vanhu varikunzwa kurwadziwa kwetsinga kana manzwiro akasiyana siyana kuwana nerve conduction velocity kudzidza kuti vaongorore hutano hwetsinga uye kushanda?
Nerve Conduction Velocity
Nerve conduction velocity (NCV) muedzo usingaiti unoyera kukurumidza uye simba rekukurudzira tsinga uchishandisa magetsi anoiswa paganda. Inoshandiswa kuongorora kukuvara kwetsinga kana chirwere, kazhinji padivi peEMG (electromyogram) kusiyanisa pakati pezvinetso zvetsinga uye tsandanyama. Inogonawo kuongorora nyaya dzekunzwa, kurwadziwa, uye kushaya simba kwemagumo.
Muedzo uyu unosanganisira kuvhunduka kwemagetsi kwakachengeteka uko kunogona kusagadzikana zvishoma asi kusingarwadze.
Nerve conduction velocity (NCV) inoyera kukurumidza kwemagetsi emagetsi anofamba achitevedza nerve fiber, iyo inoyera kuti masaini emagetsi anokurumidza kufamba sei kuburikidza netsinga.
Ruzivo urwu runoratidza hutano hwetsinga uye basa.
Electromyography (EMG) bvunzo dzetsinga dzinosanganisira kuisa tutsono mumhasuru.
NCV inononoka inogona kuratidza kukuvara kwetsinga kana kusashanda.
Test Uses
Kazhinji, bvunzo inorairwa kuti iongorore peripheral nerve zvirwere, izvo zvinobatana kubva mumhasuru, nhengo, uye ganda kumusana kana uropi. Inogona kubatsira kuziva rudzi uye nzvimbo yekukuvara kwetsinga.
Peripheral nerve mamiriro anowanzo kukonzera marwadzo, kurasikirwa kwekunzwa, kurira, kana kupisa.
Utera hunyoro uye kuderera kwemafungiro kunogona kuonekwa panguva yekuongorora tsinga.
Conditions
Nerve conduction zvidzidzo zvinoitwa kubatsira kuongorora mamiriro.
Herniated disc chirwere
Sciatic nerve matambudziko
Carpal tunnel syndrome
Guillain-Pazvibato zvechizarira urwere
Kukuvadzwa kwetsinga (neuropathy), senge kubva kuchirwere cheshuga, chemotherapy, kana autoimmune kusagadzikana
Charcot-Marie-Tooth chirwere
Nerve compression
Mamiriro mazhinji akasiyana, anosanganisira kukuvadzwa, kuzvimba, uye mamota, anogona kumanikidza imwe kana akawanda tsinga.
Radiculopathy
Kazhinji inotsanangurwa sepinched nerve, radiculopathy inogona kukanganisa ruoko kana gumbo, zvichikonzera kurwadziwa uye kushaya simba.
Peripheral Neuropathy
Kukuvadzwa kwetsinga uku kunotanga mutsinga dzakanyanya kureba, idzo dziri kure nepakati pemuviri, sezvigunwe nezvigunwe. Kunowanzokonzerwa nekunwa doro zvisina kufanira kusingaperi, chirwere cheshuga chisingadzoreki, kushomeka kwezvokudya zvinovaka muviri, uye zvirwere zvinoputika. (Ferdous M. et al., 2020 )
Carpal Tunnel Syndrome
Inowanzo kukonzerwa nezvirwere zvinoputika kana kunyanya kushandiswa kwemaoko, zvakadai kubva pamusangano webasa, carpal tunnel syndrome inokonzera kupera, kurwadziwa, uye kushaya simba kweminwe nemaoko. (Tada K. et al., 2022 )
Ulnar neuropathy
Ichi chiitiko chinowanzoitika chinokonzera kurwadziwa kwemaoko uye kuchinja kwekunzwa, kazhinji nekuda kwekudzokorora mafambiro kana nzvimbo yakareba iyo inokonzera kudzvinyirira paurnar nerve.
Guillain-Barré syndrome (GBS)
Ichi chirwere chinoputika chinokonzera kupera simba, kana kurasikirwa kwechifukidzo chekudzivirira chakakomberedza mitsipa, izvo zvinoguma nekushaya simba kwemakumbo.
Inotanga mutsinga dzemotokari, iyo inotumira zviratidzo kumasumbu mumakumbo. (Shibuya K. et al., 2022 )
Kuzvimba kunoenda kutsinga dzepamusoro pemuviri, kazhinji kunokanganisa tsandanyama dzinodzora kufema.
Kutsigira kwekufema kunodiwa kusvikira mamiriro acho aita nani.
Chronic Demyelinating Polyneuropathy (CIDP)
Ichi chirwere chisingaperi, chimiro cheGBS chinowanzobata makumbo uye chinokonzera zvikamu zvekushaya simba.
ICU neuropathy
Kuchinja kwemetabolic, kurwara kwakanyanya, uye kusafamba zvakakwana kunogona kukonzera tsinga kukudziridza maitiro ekushaya simba uye kurasikirwa kwekunzwa.
Myasthenia gravis (MG)
Ichi chimiro che autoimmune chinokanganisa kusangana pakati petsinga nemamhasuru.
Myasthenia gravis inokonzera kurembera kwemaziso uye kupera simba kwemaoko nemapendekete.
Amyotrophic lateral sclerosis (ALS)
ALS chirwere chakakomba, chinopera simba chinokanganisa tsinga dzemuzongoza.
Amyotrophic lateral sclerosis inofambira mberi nekukurumidza, zvichiita kuti tsandanyama dzisasimba mumuviri wese.
Zvinoitwa sei
Maelectrode epamusoro anoiswa paganda pamusoro petsinga, uye magetsi madiki anoiswa kuti akurudzire tsinga.
Nguva inotora kuti chiratidzo chemagetsi chifambe pakati pemagetsi chinoyerwa, uye nguva ino inoshandiswa kuverenga NCV.
Values
Normal NCV values kazhinji ari pakati pe50 uye 70 metres pasekondi. Zvisinei, izvi zvakakosha zvinogona kusiyana zvichienderana netsinga uye munhu.
NCV Factors
Zvinhu zvakasiyana zvinogona kukanganisa NCV.
zera
Sex
Mamiriro ekurapa akaita sechirwere cheshuga
Tsanangudzo
NCV inononoka inogona kuratidza kukuvara kwetsinga kana demyelination (kurasikirwa kwemyelin sheath, iyo insulates nerve fibers), nepo EMG inogona kubatsira kuona kana dambudziko riri mutsinga kana tsandanyama.
Results
Mhedzisiro yekuyedzwa kweNCV inogona kushandiswa kuona rudzi, kuoma, uye nzvimbo yekukuvara kwetsinga. Mhedzisiro ichave yakagadzirira mufomu reshumo rinenge vhiki mushure mebvunzo.
Muedzo unoyera velocity (kukurumidza sei tsinga inotumira masaini) uye amplitude (ingani tsinga fiber dzakaitwa). (Tavee J. 2019 )
Zviyero zvinotumirwa kukombiyuta uye zvinoratidzwa semasaisai uye nhamba dzenhamba.
Izvo zvakakosha zvinofananidzwa nechiyero chechiyero chinobva pane yakaedzwa nerve.
Nharaunda pakati pemagetsi.
Zera remunhu.
Kuenzaniswa nechiyero, mhedzisiro yeNCV inogona kuona mamwe mapatani ekukuvara kwetsinga. (Tada K. et al., 2022 ) Migumisiro inosanganisira: (Tavee J. 2019 )
Kana imwe kana dzakawanda tsinga dzabatwa.
Kana mota tsinga (kudzora kufamba), tsinga dzekunzwa (kutumira masaini), kana zvese zviri zviviri zvakakanganiswa.
Kana tsinga yakavharika kana kukuvara.
Kuoma kwekukuvara.
Rudzi rwekukuvara kwetsinga
Axonal (kukuvadza kune nerve pachayo)
Demyelination (kukuvadza kune inodzivirira mafuta layer yakatenderedza nerve)
Mhedzisiro yacho inogona kubatsira kunongedza kune kumwe kuongororwa.
Kugadzirira Kusati Kwaitwa Muedzo
Vanhu havazodi kuchinja kudya kwavo vasati vava neNCV. Nekudaro, varwere vanozokumbirwa kudzivirira mafuta ekuzora kana makirimu paganda ravo vasati vaongororwa. Vanhu vanenge vaine EMG panguva yeNCV yavo vanogona kukumbirwa kuti varege kutora mishonga kana ma supplements anowedzera njodzi yekubuda ropa nekupwanya. Kana murapi wehutano akati usarege kunwa mishonga nekuda kwehutano, murwere anogona kunyeverwa kuti anogona kuve nemavanga mushure mekuongororwa kweEMG.
NCV inogona kuraira kusawana bvunzo kune avo vane magetsi emagetsi ekuisa.
Ita shuwa kuti vatapi vako vehutano vanoziva nhoroondo yako yese yekurapa.
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Peripheral Neuropathy uye Chiropractic Care
VIDEO
References
Ferdousi, M., Kalteniece, A., Azmi, S., Petropoulos, IN, Worthington, A., D'Onofrio, L., Dhage, S., Ponirakis, G., Alam, U., Marshall, A., Faber, CG, Lauria, G., Soran, H., & Malik, & 2020). Corneal confocal microscopy ichienzaniswa nehuwandu hwekunzwa bvunzo uye tsinga conduction yekuongorora uye stratifying kuoma kwechirwere cheshuga peripheral neuropathy. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 8(2), e001801. doi.org/10.1136/bmjdrc-2020-001801
Tada, K., Murai, A., Nakamura, Y., Nakade, Y., & Tsuchiya, H. (2022). MuCarpal Tunnel Syndrome, Sensory Nerve Conduction Velocities Yakaipisisa muFinger Finger kupfuura muIndex Finger. Frontiers muNeurology, 13, 851108. doi.org/10.3389/fneur.2022.851108
Shibuya, K., Tsuneyama, A., Misawa, S., Suzuki, YI, Suichi, T., Kojima, Y., Nakamura, K., Kano, H., Ohtani, R., Aotsuka, Y., Morooka, M., Prado, M., & Kuwabara, S. (2022). Mhando dzakasiyana dzekunzwa tsinga kubatanidzwa mune zvisingaperi kuzvimba demyelinating polyneuropathy subtypes. Tsandanyama netsinga, 66(2), 131–135. doi.org/10.1002/mus.27530
Tavee J. (2019). Nerve conduction zvidzidzo: Basic concepts. Handbook of Clinical Neurology, 160, 217-224. doi.org/10.1016/B978-0-444-64032-1.00014-X
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | chisingaperi Pain , Neuropathy , Kukuvara Kwevanhu
Vanhu vanobata nekurwadziwa kusingaperi zvichitevera kukuvara kudiki, kuvhiyiwa, kana kushungurudzika vanogona kunge vachisangana nedambudziko rekurwadziwa kwedunhu. Ndezvipi zviratidzo, kuongororwa, uye marapiro aripo?
Akaoma Nharaunda Pain Syndrome
Reflex sympathetic dystrophy syndrome (RSDS), inonyanya kuzivikanwa seyakaoma nzvimbo yemarwadzo syndrome (CRPS) Chronic pain mamiriro ezvinhu apo munhu anonzwa kurwadziwa kwakanyanya, kunoramba kuripo mugumbo, kazhinji kunotevera kukuvara, iyo inonyanya kudzika kupfuura kubva pakushungurudzika kwekutanga. Inonzi neuroinfigueatory disorder umo mhinduro yemuviri kune kukuvara inokanganisa. Mamiriro acho anoratidzwa nekurwadziwa kwakanyanya kunopisa, kazhinji muruwoko kana gumbo, izvo zvinogona kuitika zvichitevera kukuvara kudiki, kuvhiyiwa, kana kushungurudzika. Inobatanidzwa nekuchinja kusiri kwenguva mutembiricha yeganda, kuzvimba, uye kunzwa kubata, kazhinji kunokanganisa tsinga dzenzvimbo, ganda, tsandanyama, tsinga dzeropa, uye mapfupa. Mamwe mazita ainozivikanwa nawo anosanganisira:
Causalgia
Shoulder-Hand Syndrome
Sudeck's Atrophy
Zvinokonzera
CRPS chirwere chisingaperi chinorwadza chinotendwa kuti chinobva mukusashanda mukati mepakati kana peripheral nervous system (National Institute of Neurological Disorders uye Stroke, 2017 ) It zvinosanganisira kushatirwa uye kuwedzeredza kusiri kujairika kwetishu yetsinga, zvichitungamira kune zvisingaite pamitsipa inokanganisa tsinga dzeropa uye ganda. Zvidzidzo zvemhuka zvinoratidza kuti norepinephrine, catecholamine yakasunungurwa kubva mutsinga dzinonzwira tsitsi, inowana kukwanisa kushandura nzira dzinorwadza mushure mekukuvara kwetsinga kana tsinga, zvichikonzera CRPS. Imwe dzidziso ndeyokuti CRPS, iyo inotevera kukuvara, inokonzerwa nekukonzera mhinduro yekudzivirira muviri uye zviratidzo zvinoramba zvichiitika zvekuputika (kuzvimba, kubwinya, kudziya). (Goh EL, Chidambaram S., & Ma, D. 2017 ) Zvinofungidzirwa kuti zvine zvikonzero zvakawanda zvinounza zviratidzo zvakafanana.
zvinokonzera
Panogona kuva nezvikonzero zvakawanda, kusanganisira:
zviratidzo
CRPS inowanzobata imwe yemagumo (ruoko, gumbo, ruoko, kana tsoka). Chiratidzo chekutanga kurwadziwa kwakanyanya, kunoramba kuripo. (National Institute of Neurological Disorders uye Stroke, 2017 ) Zvimwe zviratidzo zvinogona kusanganisira
Burning pain
Kuzvimba
Kuwedzera kwekunzwa kweganda
Kunyanya kunzwisiswa pakubata, kazhinji zvichikonzera kuremara kwakanyanya munhengo inobatwa.
Kuoma uye kuzvimba mumajoini akabatwa
Kuchinja kweruvara rweganda - dzvuku, tsvuku, tsvuku, tsvuku.
Kuchinja kwekushisa kweganda - kudziya kana kutonhora kudarika kunopesana.
Kuchinja kweganda - kupenya, kutetepa, kudikitira.
Kuchinja kwezvipikiri uye maitiro ekukura kwebvudzi.
Marwadzo anogona kupararira, semuenzaniso, kubva kumunwe kusvika kuruoko rwose uye kumucheto wakatarisana kana kubva kuruboshwe kuenda kuruoko rworudyi.
Kushungurudzika mupfungwa kunogona kuita kuti zviratidzo zviwedzere.
Dzimwe nyanzvi dzinoti matanho matatu panguva iyo shanduko inofambira mberi inoitika paganda renzvimbo yakakanganiswa, tsandanyama, majoini, ligaments, uye mapfupa (Harvard Health Publishing, 2023 ). Zvisinei, kumwe kutsvakurudza kunodiwa.
Nhanho
Stage One
Inotora 1 kusvika kumwedzi mitatu
Kurwadza kwakanyanya, kupisa
Tsvina inoputika
Kuomarara kwakabatana
Kukura kwebvudzi nokukurumidza
Rudzi rweganda uye shanduko yekushisa (Stanford Medicine, 2025 )
Chikamu Chechipiri
Zvinotora kubva 3 kusvika 6 mwedzi
Marwadzo anowedzera
Kuzvimba
Kuderera kwebvudzi kukura
Zvipikiri zvakatsemuka, brittle, grooved, mavara
Mabhonzo akapfava
Majoini akaoma
Inzwi remhasuru dzisina simba
Stage Three
Marwadzo anoenderera mberi
Tsvina atrophy
Mufambiro wakaganhurirwa zvikuru
Shanduko dzisingadzoreki paganda nemapfupa
Kubatana kwemhasuru nematendon - mitezo inogona kumonyoroka
kuongorora chirwere
Nhoroondo yekiriniki yemurwere - zviratidzo nezviratidzo ndicho chinhu chikuru mukuongororwa.
Kuongororwa kwakaoma nekuti zviratidzo zvakawanda zvinopindirana nemamwe mamiriro. (Goh EL, Chidambaram S., & Ma, D. 2017 )
Hapana kuongororwa ropa kwakananga kana kumwe kuongororwa.
X-rays inogona kuratidza osteoporosis, uye nyukireya bone scans inogona kuratidza maitiro ekutora anobatsira kuongorora.
Mishonga
Kurapa kunotarisa pakubvisa zviratidzo zvinorwadza uye kunogona kusanganisira: (Goh EL, Chidambaram S., & Ma, D. 2017 )
Kurapa kwepanyama uye kurovedza muviri
Psychotherapy kuderedza kushushikana, kusagadzikana, uye kushushikana
Tsinga dzinonzwa tsitsi
Surgery
Spinal cord stimulation
Intrathecal drug pumps
Mishonga
Izvi zvinogona kusanganisira:
Misoro analgesics
Anti-seizure mishonga
Antidepressants
Corticosteroids
Opioids
Zvinofungidzirwa kuti kune 50,000 nyaya itsva gore negore muUnited States. (Tajerian M., & Clark JD 2016 )
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Zvinokonzera Marwadzo
VIDEO
References
National Institute of Neurological Disorders uye Stroke. (2017). Complex regional pain syndrome chokwadi sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/CRPS_FactSheet-E_508C.pdf
Goh, EL, Chidambaram, S., & Ma, D. (2017). Complex region pain syndrome: yazvino update. Kupisa & Kushungurudza, 5, 2. doi.org/10.1186/s41038-016-0066-4
Bruehl S. (2015). Complex regional pain syndrome. BMJ (Clinical research ed.), 351, h2730. doi.org/10.1136/bmj.h2730
Harvard Health Publishing. (2023). Complex Regional Pain Syndrome (CRPS). www.health.harvard.edu/a_to_z/complex-regional-pain-syndrome-crps-a-to-z
Stanford Medicine. (2025). Complex Regional Pain Syndrome (CRPS). med.stanford.edu/pain/about/chronic-pain/crps.html
Tajerian, M., & Clark, JD (2016). New Concepts in Complex Regional Pain Syndrome. Makiriniki Emaoko, 32 (1), 41-49. doi.org/10.1016/j.hcl.2015.08.003
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Nerve Injury , Neuropathy
Kunwa doro zvakanyanya: chii chinonzi doro peripheral neuropathy?
Alcoholic Peripheral Neuropathy
Doro peripheral neuropathy (ALN) chirwere chinokuvadza tsinga dziri mumuviri nekuda kwekunwa doro kwenguva refu. Inogona kukonzera kunzwa, mota, uye autonomic dysfunction, izvo zvinogona kukonzera kuremara. Kukuvadzwa uku kunodzivirira tsinga pakutaura mashoko. Zvizhinji zviratidzo zvinowanzotanga zvakapfava asi zvinowanzo wedzera nekufamba kwenguva sezvo neuropathy inofambira mberi. Zviratidzo zvinowanzoonekwa ndezvi: (National Library yeMishonga, 2023 )
Kunzwa chiveve kana kurira mumakumbo
Marwadzo kana kunzwa kupisa mumigumo
Kuoma kufamba
Zvakaoma kuita weti
Kutadza kutaura kana kumedza
Mitsipa yakakanganiswa inosanganisira peripheral uye autonomic nerves, iyo inobatsira kugadzirisa mashandiro emuviri wemukati. Inenge 46% yevanoshandisa doro zvisingaperi vanozopedzisira vaita chimiro. (Julian T., Glascow N., Syeed R., & Zis P. 2019 )
Zvinokonzera
Chikonzero chaicho chedoro neuropathy hachina kujeka. Asi yakanangana nekurema uye kwenguva refu kunwa doro. (Julian T., Glascow N., Syeed R., & Zis P. 2019 ) Zvinofungidzirwa kuti kunwisa doro kunogona kukuvadza zvakananga uye kutadzisa tsinga kukurukura mashoko. Miitiro isina kunaka yezvokudya inowanzobatanidzwa nayo zvakare. Tsvagiridzo inoratidza kuti yakaderera thiamine/B vhitamini inoita basa, nepo vamwe vachiratidza kushomeka kwekudya kwese kunogona kuita basa. (Julian T., Glascow N., Syeed R., & Zis P. 2019 ) Zvisinei, doro reuropathy rinogonawo kuitika pasina kuvapo kwekushaya zvokudya zvinovaka muviri. (Julian T., Glascow N., Syeed R., & Zis P. 2019 )
Neuropathy Kubudirira uye Kufambira mberi
Doro peripheral neuropathy inokura zvichienderana nezvinhu zvakawanda, kusanganisira kuwanda kwezuva nezuva / usiku doro rinoshandiswa, makore uye hutano hwakakwana, kudya kunovaka muviri, uye zvimwe zvinhu. Muzviitiko zvakawanda, neuropathy inotora makore akati wandei kana makumi emakore kukura, zvichienderana nehuwandu hwedoro rinopedzwa.
zviratidzo
Zviratidzo zvinowanzoenderana nekusashanda kwetsinga uye zvinosanganisira: (National Library yeMishonga, 2023 )
Kudzvova kana mapini-netsono sensation mumagumo.
Chiveve chemigumo, kazhinji mumakumbo kana tsoka. (Julian T., Glascow N., Syeed R., & Zis P. 2019 )
Marwadzo kana kupisa kunzwa mumaoko, makumbo, kana tsoka.
Zviratidzo zvinowanzoitika mumawoko nemakumbo zvinowanzobata mativi ose.
Cramps, aches, kana kupera simba kwemasuru.
Kuzvimbirwa kana manyoka.
Kutsamwa uye kurutsa.
Kutadza kuita weti kana kuti incontinence.
Kunetsa kufamba.
Kutadza kutaura kana kumedza.
Kusashivirira kupisa.
Erection matambudziko.
Zvizhinji zviratidzo zvinotanga zvinyoro uye zvinowanzo wedzera nekufamba kwenguva sezvo neuropathy inofambira mberi. Alcohol neuropathy inobata vanhu vanonwa doro rakawandisa kwenguva yakareba. (Julian T., Glascow N., Syeed R., & Zis P. 2019 )
kuongorora chirwere
Zviratidzo zvinogona kusiyana zvakanyanya kuitira kuti kuongororwa kunogona kutora nguva. Kazhinji zvinosanganisira musanganiswa wezvinotevera (National Institute of Neurological Disorders uye Stroke, 2024 )
History Medical
Vashandi vehutano vanozounganidza data inosanganisira nhoroondo yekurapa yakapfuura uye zviratidzo zvese zviripo.
Physical Exam
Ongororo iyi inotarisa mamwe mamiriro ekurapa anokonzera zviratidzo, seshuga kana BP.
Neurological Exam
Iyi bvunzo isingaite yekuona nzvimbo uye huwandu hwekukuvara kwetsinga.
Varapi vehutano vanogona kubvunza varwere mibvunzo yakati wandei uye voita kuti vapedze nhevedzano yekufamba kudiki kutarisa basa retsinga.
Ropa uye Weti Kuongororwa
Iyi miedzo inogona kuona chirwere cheshuga, matambudziko echiropa neitsvo, hutachiona, kushomeka kwevhitamini, uye mamwe mamiriro anogona kukonzera neuropathic mamiriro.
Kugara kunwa doro kunogona kukanganisawo machengeterwo emuviri nekushandisa mavhitaminzi anodiwa kune hutano hwetsinga. Mavhitamini mazinga anogona kuongororwa nemupi wehutano anosanganisira: (National Library yeMishonga, 2023 )
vhitamini A
Biotin
Folic acid
Niacin, kana vhitamini B3
Pyridoxine, kana vhitamini B6
Pantothenic acid
Chiropa Chirwere
Vanhu vane chirwere chisingaperi chechiropa vanowanzova neuropathy. Kuoma uye nhanho zvinosanganiswa nehuwandu hwehuwandu hweuropathy. (Pasha MB, Ather MM, Tanveer MA, et al. 2019 )
mabatiro
Doro neuropathy haidzokerike, kunyangwe pakurega kunwa. Nekudaro, vanhu vane chirwere ichi vanogona kuita shanduko dzine hutano kuderedza zviratidzo uye kuwana rubatsiro rwekunwa doro kusingaperi. Danho rekutanga kumisa kunwa doro. (Chopra K., & Tiwari V. 2012 ) Taura nevarapi vehutano nezvesarudzo dziripo. Kurapa kunogona kusanganisira:
In-murwere kana outpatient rehab
kurapa
Mishonga
Rutsigiro rwemagariro kubva kumapoka akaita seAlcoholics Anonymous
Musanganiswa wekurapa ungango shandiswa. Dzimwe nzira dzekurapa dzinosanganisira kutungamira kwezviratidzo uye kudzivirira kumwe kukuvara uye zvinogona kusanganisira:
Physical therapy
Kuramba wakasimudza musoro wakarara.
Orthopedic splints kuchengetedza nhengo uye kumira.
Kupfeka compression stockings.
Kuwedzera mavitamini uye kuwedzera.
Kudya munyu wakawedzerwa kune vasina hypertension
Mishonga yekuderedza marwadzo uye kusagadzikana.
Intermittent catheterization kana manual expression yeweti kune avo vane dambudziko rekuita weti.
Vanhu vane neuropathy vanogona kunge vakaderedza kunzwa mumaoko nemakumbo. Kana izvi zvikaitika, mamwe matanho anofanirwa kutorwa kudzivirira kumwe kukuvara, kunosanganisira (National Library yeMishonga, 2023 )
Pfeka shangu dzakakosha kudzivirira kukuvara kwetsoka.
Kutarisa tsoka zuva nezuva nekuda kwemaronda.
Dzivirira kutsva nekuona kuti mvura yekugeza neyekugeza haina kunyanya kupisa.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.
Peripheral Neuropathy Ngano uye Chokwadi
VIDEO
References
National Library of Medicine. (2023). Doro neuropathy. Zvakatorwa kubva medlineplus.gov/ency/article/000714.htm
Julian, T., Glascow, N., Syeed, R., & Zis, P. (2019). Doro-rine hukama hweperipheral neuropathy: kuongorora kwakarongeka uye meta-analysis. Nyaya yeNeurology, 266 (12), 2907-2919. doi.org/10.1007/s00415-018-9123-1
National Institute of Neurological Disorders uye Stroke. (2024). Peripheral neuropathy. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy
Pasha MB, AM, Tanveer MA, et al. (2019). Frequency yeperipheral neuropathy muchirwere chisingaperi chechiropa. Med Forum Monthly, 30(8), 23-26. medicalforummonthly.com/index.php/mfm/article/view/3761
Chopra, K., & Tiwari, V. (2012). Doro neuropathy: zvinogoneka nzira uye ramangwana rekurapa mikana. British Journal of Clinical Pharmacology, 73 (3), 348-362. doi.org/10.1111/j.1365-2125.2011.04111.x
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Nerve Injury , Neuropathy
Ko kunzwisisa kuti nociceptors inoshanda sei uye basa ravo mukugadzirisa zviratidzo zvinorwadza zvinobatsira vanhu vari kutarisira kukuvara uye / kana kurarama nemarwadzo asingagumi?
Nociceptors
Nociceptors magumo etsinga anoona zvinokuvadza zvinokurudzira, zvakadai sekupisa kwakanyanya, kudzvinyirira, uye makemikari, uye zviratidzo zvinorwadza. Ndidzo dziviriro yekutanga yemuviri kubva kune zvinogona kukanganisa zvinopinda nharaunda.
Nociceptors iri muganda, tsandanyama, majoini, mapfupa, nhengo dzomukati, matishu akadzika, uye cornea.
Vanoona zvinhu zvinokuvadza vozvishandura kuva zviratidzo zvemagetsi.
Aya masaini anotumirwa kunzvimbo dzepamusoro dzehuropi.
Uropi hunodudzira zviratidzo semarwadzo, izvo zvinokurudzira muviri kuti udzivise kukurudzira kunokuvadza.
Nociceptors, inowanzonzi pain receptors, yakasununguka nerve endings muviri wose. Ivo vanoita basa rakakosha mumanzwiro uye kuita kwemuviri pakurwadziwa. Chinangwa chikuru che nociceptor ndechekupindura kukanganisa kumuviri kuburikidza nekutumira zviratidzo kumusana wepelinha uye uropi. (Purves D, Augustine GJ, Fitzpatrick D, et al., vapepeti. 2001 ) Kana iwe ukaputira rutsoka rwako, ma nociceptors paganda anoshandiswa, kutumira chiratidzo kuuropi kuburikidza nehutachiona hwehutachiona kumusana wepelinha. Marwadzo anobva kune chero chikonzero anotapurirwa nenzira iyi. Zviratidzo zvekurwadziwa zvakaoma, zvinotakura ruzivo pamusoro penzvimbo yekukurudzira uye kusimba. Izvi zvinoita kuti uropi hunyatsogadzirisa marwadzo uye kutumira kutaurirana kumashure kunovhara mamwe masaini ekurwadziwa.
kupatsanura
Kune makirasi akasiyana e nociceptors, ayo anobva pane rudzi rwekukurudzira kwavanoita (Yunivhesiti yeTexas McGovern Medical Chikoro, 2020 )
Thermal
Thermal nociceptors inopindura kune kupisa kwakanyanya kana kutonhora.
Semuenzaniso, kana uchibata chitofu chinopisa, ma nociceptors, ayo anoratidza kurwadziwa, anogadziriswa pakarepo, dzimwe nguva usati waziva zvawakaita.
Mechanical
Mechanical nociceptors inopindura kutambanudza kwakanyanya kana kuomeswa, sekudhonza hamstring kana kushungurudza tendon.
Misungo kana tendon yakatambanudzwa kupfuura kukwanisa kwavo, inokurudzira nociceptors uye kutumira zviratidzo zvinorwadza kuuropi.
mushonga
Kemikari nociceptors inopindura kumakemikari anobudiswa kubva mukukuvara kwenyama.
Semuenzaniso, prostaglandin uye chinhu P kana makemikari ekunze senge topical capsaicin pain creams.
Silent
Silent nociceptors inofanira kutanga kushandiswa nekuputika kwenyama isati yapindura kune mechanical, thermal, kana chemical stimulus.
Mazhinji visceral nociceptors ari panhengo dzemuviri.
Polymodal
Polymodal nociceptors inopindura kune mechanical, thermal, uye chemical stimuli.
Mechano-thermal
Mechano-thermal nociceptors inopindura kune mechanical uye thermal stimuli.
Pain Transmission
Nociceptors inoratidzirwawo nekukasira kwavanoita kutumira zviratidzo zvinorwadza. Kufambisa kwekufambisa kunotarirwa nemhando yefiber fiber inozivikanwa seaxon nociceptor ine. Kune mhando mbiri huru.
Rudzi rwekutanga iA fiber axon, mafibhi akakomberedzwa nemafuta, sheath inodzivirira inonzi myelin.
Myelin inobvumira masaini etsinga / chiito chinogona kufamba nekukurumidza.
Rudzi rwechipiri ndiC fiber axons, iyo isina kutenderedzwa nemyelin uye inofambisa zvishoma. (Yunivhesiti yeTexas McGovern Medical Chikoro, 2020 )
Nekuda kwekusiyana kwekumhanya kwekutapurirana, zviratidzo zvinorwadza kubva kuA fibers zvinosvika kumusana wekutanga. Somugumisiro, mushure mekukuvara kwakanyanya, munhu anonzwa kurwadziwa muzvikamu zviviri, imwe kubva kuA fibers uye imwe kubva kuC fibers. (Ngassapa DN 1996 )
Pain Perception Phases
Kana kukuvadzwa kuchiitika, ma nociceptors anokurudzirwa anoshandisa A fibers, zvichiita kuti munhu anzwe kurwadziwa kwakanyanya, kunorwadza.
Ichi ndicho chikamu chekutanga chemarwadzo, chinozivikanwa sekurwadziwa kwekukurumidza, nokuti haisi kunyanya kusimba asi inouya pakarepo mushure mekukurudzira.
Pakati pechikamu chechipiri chemarwadzo, C fibers inoshandiswa, inokonzera kurwadziwa kwakanyanya, kupisa kunopfuurira kunyange mushure mokunge kukurudzira kwamira.
Icho chokwadi chekuti C fibers inotakura marwadzo ekupisa inotsanangura kuti sei pane kunonoka kwenguva pfupi usati wanzwa kunzwa.
Mafibisi eC anotakurawo kurwadza, kurwadziwa kunorwadza kunokonzerwa nenhengo dzemuviri, senge tsandanyama kana kurwadziwa nemudumbu. (Ngassapa DN 1996 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.
Kubva Kukuvara Kuti Udzoke NeChiropractic Care
VIDEO
References
Purves D, AG, Fitzpatrick D, et al., vapepeti. (2001). Nociceptors. MuNeuroscience. 2nd edition. (2nd ed.). Sunderland (MA): Sinauer Associates. www.yori.nlm.nih.gov/books/NBK10965/
Yunivhesiti yeTexas McGovern Medical Chikoro. (2020). Chitsauko 6: Marwadzo Mitemo. nba.uth.tmc.edu/neuroscience/m/s2/chapter06.html
Ngassapa DN (1996). Kuenzanisa kwekushanda kwemaitiro emukati A- uye C-nerve fibers mumarwadzo emazino. East African medical journal, 73(3), 207–209.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Nerve Injury , Neuropathy
Kuona kana kusanzwa kweruoko kuchiitika kamwe kamwe kana zvishoma nezvishoma uye kana paine zvimwe zviratidzo zvinobatsira varapi vehutano kuongorora nekurapa mamiriro acho?
Ruoko Ruveve
Ruoko ruveve kana kurira zviratidzo zvinowanzoitika zvinogona kukonzeresa zvakasiyana-siyana zvekurapa. Chiveve chinogona kukonzerwa nekukasira kwehutano hwekukurumidzira, kusagadzikana kwetsinga, kana kushomeka kwekudya. (National Institute of Neurological Disorders uye Stroke, 2024 ) Dzimwe nguva, chiratidzo ichi chinobva pakukotsira kweruoko uye chinogona kugadziriswa mushure memaminitsi mashoma. Kunzwa kungave kwenguva pfupi, zvichikonzerwa nechinhu chakafanana nekurara panzvimbo isiri iyo. Nekudaro, kusanzwa kweruoko uye kurira kunogona kukonzerwa neuropathy uye kukuvara kusingagumi uye kufambira mberi kwetsinga uye zvinogonawo kuitika kamwe kamwe nekuda kwemamiriro akakomba, akadai sekurwadziwa kwemoyo kana sitiroko.
Matambudziko Ekutenderera
Kusafamba zvakanaka kweropa muruwoko kunogona kukonzera chiveve uye kurira sezvo tsinga dzisingakwanisi kugamuchira oxygen yakakwana. Mamiriro ezvinhu anogona kukanganisa kubuda kweropa uye anosanganisira: (Bryan L. naSingh A. 2024 )
Atherosclerosis - plaque buildup mutsinga dzinogona kuda mishonga kana kuvhiyiwa.
Frostbite yakanyanya inogona kukuvadza tsinga dzeropa asi inogona kugadziriswa nekudziya kwakakodzera nekuchengeta maronda.
Vasculitis - kuzvimba kwetsinga dzeropa dzinogona kurapwa nemishonga.
Kurara Chinzvimbo
Muenzaniso wakajairika wekuerekana wanzwa chiveve uye kurira ndiko kunzwa kuti ruoko rwakarara. Izvi zvinowanzoitika mushure mekurara zvisingaite kana kutsamira paruoko kwenguva yakareba. Inozivikanwa separesthesia, kunzwa uku kunoenderana nekudzvanywa kana kushatirwa kwetsinga. (Bryan L. naSingh A. 2024 ) Kurara mune dzimwe nzvimbo kwave kwakabatana nekutsikirirwa kwetsinga, kunyanya kana maoko kana maoko akaputirwa kana kupeta pasi pemuviri, pamwe chete nekuchengetedza kurongeka kwakakodzera kwemusana paunenge wakarara, ndiyo nzira yakanakisisa yekudzivirira kusanzwa kweruoko.
Kukuvara Kwetsinga uye Mamiriro
Chiveve chinoramba chiripo chinogona kunge chakabatana nekukuvara kana dambudziko rehutano riri pasi rinokanganisa brachial plexus, boka retsinga dzinomhanya kubva kumutsipa wezasi kusvika kumapfudzi epamusoro uye inodzora kufamba uye kunzwa mumaoko. (Gomo reSinai, 2022 ) Kukuvara kunogona kukanganisa tsinga idzi kunosanganisira: (Smith, SM et al., 2021 )
A herniated disc inokonzerwa nekukwegura kana kushungurudzika inokonzera kuti dhidhi ibude uye isimbise pamudzi wetsinga.
Kukuvara kwekupisa kana kuruma kunokanganisa mutsipa nemapfudzi .
Backpacker's palsy inokonzerwa nekumanikidzwa pamapfudzi.
Kukuvara pakuzvarwa sekunge Erb-Duchenne's palsy uye Klumpke's palsy.
Traumatic nerve root avulsion kukuvara umo musana wetsinga unokuvadzwa.
Zvirwere uye kusagadzikana zvinogona kukonzera chiveve mumaoko zvinosanganisira mamiriro anokanganisa hurongwa hwetsinga, senge multiple sclerosis, fibromyalgia, Raynaud phenomenon, uye shingles. (National Heart, Lung, uye Ropa Institute, 2023 ) (Smith, SM et al., 2021 )
Chiveve uye Mamiriro Ehutano Akakomba
Kurohwa
Iyi injodzi yekurapa umo kuvharika kunodzivirira ropa kuti risasvike kuuropi.
Chiratidzo chimwe chesitiroko inonzwa kurira kune rimwe divi remuviri.
Vanhu vanogonawo kusakwanisa kufambisa nhengo imwe kana kupfuura. (Centers yeChirwere Kudzivirira uye Kudzivirira, 2024 )
Tsvaga kurapwa kwekukurumidza.
Chirwere chemoyo
Kana mwoyo wakuvadzwa, ropa harigoni kutenderera uye rinogona kutungamirira kuhosha duku kana huru yemwoyo.
Zviratidzo zvechirwere chemoyo zvinosanganisira chiveve mune rimwe kana maoko ose, uye haisi nguva dzose ruoko rworuboshwe. (National Heart, Lung, uye Ropa Institute, 2022 )
Kudzvinyirirwa kurwadziwa muchipfuva uye kupfupika kwekufema zvimwe zviratidzo zvinoda kurapwa nekukurumidza.
Mharapara Osteoarthritis
kenza
Neoplasm tumors inogona kukanganisa brachial plexus nerve, zvichikonzera kurasikirwa kwekunzwa mumaoko.
Gomarara remuzamu neremapapu ndiro rinonyanya kuitika. (Smith, SM et al., 2021 )
chirwere cheshuga
Kurasikirwa kwekunzwa mumaoko kunogona kuva chiratidzo cheperipheral neuropathy, iyo inogona kukonzerwa nechirwere cheshuga chisingadzorwi. (Johns Hopkins Mushonga, 2024 )
Kurapa kunoda kutarisira shuga yeropa uye yemuromo nemishonga yemusoro.
Chiveve chemushonga
Hukama huri pakati pekunzwa chiveve nekushandiswa kwemishonga hunogona kunge hwakaoma. (Senderovich H. uye Jeyapragasan G. 2018 )
Mishonga yakawanda, senge gabapentin, inogona kushandiswa kuderedza manzwiro ekunzwa kweruoko.
Mimwe mishonga inogona kukonzera chiveve semhedzisiro.
Mimwe mishonga inogona kukonzera matambudziko, uye kusanzwa kweruoko kunogona kuve chiratidzo chematambudziko iwayo.
Zivisai varapi vehutano nezvemishonga inotorwa kuti vaone hukama pakati pavo uye chero shanduko yekunzwa.
Kushayikwa kweVitamin
Peripheral neuropathy inogonawo kukonzerwa nekushomeka kwekudya uye kusaenzana kwevhitamini, izvo zvinogona kukuvadza tsinga uye kukonzera kurasikirwa kwekunzwa kuruboshwe kana ruoko rworudyi. Mamiriro akajairika ndeyekushaikwa kwevhitamini B12 uye yakawandisa vhitamini B6. (National Institute of Neurological Disorders uye Stroke, 2024 ) Kunwa doro zvakanyanyisa uye kumwe kusagadzikana kunokanganisa kudya kunovaka muviri kunogona kukonzera kukuvara kwetsinga.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
PaInjury Medical Chiropractic uye Functional Medicine Clinic, nzvimbo dzedu dzekudzidzira dzinosanganisira Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwekudzokera, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated. Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Wellness & Nutrition, Functional Medicine Treatments, uye in-scope care protocols. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo uye kudzoreredza basa. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
Chiropractic Care: Iyo Yakasikwa Nzira Yokupora Kubva Kukuvara
VIDEO
References
National Institute of Neurological Disorders uye Stroke. (2024). Paresthesia. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/glossary-neurological-terms#paresthesia
Bryan, L., Singh, A. Sleep Foundation. (2024). Chiveve Mumaoko Paunenge Wakarara: Zvinokonzera uye Mishonga. www.sleepfoundation.org/physical-health/numbness-in-hands-while-sleeping
Gomo reSinai. (2022). Brachial plexopathy. www.mountsinai.org/health-library/diseases-conditions/brachial-plexopathy
Smith, SM, McMullen, CW, & Herring, SA (2021). Differential Diagnosis for the Painful Tingling Arm. Mishumo yezvino yemishonga yemitambo, 20 (9), 462-469. doi.org/10.1249/JSR.0000000000000877
National Heart, Lung, uye Ropa Institute. (2023). Vasculitis. Zvakatorwa kubva www.nhlbi.nih.gov/health/vasculitis/symptoms#:~:text=Nerve%20problems%2C%20including%20numbness%2C%20tingling,can%20also%20occur%20with%20vasculitis .
Centers for Disease Control and Prevention. (2024). Stroke zviratidzo uye zviratidzo. Zvakatorwa kubva www.cdc.gov/stroke/signs-symptoms/?CDC_AAref_Val=https://www.cdc.gov/stroke/signs_symptoms.htm
National Heart, Lung, uye Ropa Institute. (2022). Chii Chinonzi Hosha Yemoyo? Zvakatorwa kubva www.nhlbi.nih.gov/health/heart-attack
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Spinal Stenosis Basics. Zvakatorwa kubva www.niams.nih.gov/health-topics/spinal-stenosis/basics/symptoms-causes
Johns Hopkins Mushonga. (2024). Peripheral Neuropathy. www.hopkinsmedicine.org/health/conditions-and-diseases/peripheral-neuropathy
Senderovich, H., & Jeyapragasan, G. (2018). Pane basa rekubatanidza kushandiswa kwegabapentin uye pregabalin mukudzora kurwadziwa? Too good to be true?. Tsvagiridzo yezvino yekurapa uye maonero, 34 (4), 677-682. doi.org/10.1080/03007995.2017.1391756
National Institute of Neurological Disorders uye Stroke. (2024). Peripheral Neuropathy. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy